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Permit (212) CITY OF TIGARD MASTER PERMIT k. rt� Permit#: MST2018-00011 IN -ii. COMMUNITY DEVELOPMENT 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 ,, + ' Issued: 01/18/2018 T I r1 I:T) 9 Mr,/.� Parcel: 2S108DB04300 Jurisdiction: Tigard Site address: 15339 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 41 Project: Polygon at Bull Mountain, Lot 41 Project Description: New SF. 8/16/2018: REPRINT permit to add 2nd washer,dryer, furnace,NC and(1)lay. 11/14/18: REPRINT to add(1)gas line for outdoor fireplace. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 1 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 6 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add!500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2734 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $35,258.45 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952- -0090. You ay obtain copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.80��.332.2344. Issued By: A ,Y�- iPermittee Signature: e'''24 Call 503.639.4176 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Appli FOR OFFICE USE ONLY ^ D Received �/�M City of Tigard Date/By: l• /v/ t� Permit, ;'VW t// 14 18 13125 SW Hall Blvd.,Tigard,OR 97,i ,, 1. 4 2018 Plan Review f/ri t _ Phone: 503.718.2439 Fax: 503.598.1`:1 Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 CITY :. ,.,,,70 Date Read /BY Juris: Ea See Page 2 for Internet: www.tigard-or.gov DIViON Notified/Method: Supplemental Information A . � t �� TYPE OF WORK - COMMERCIAL FEE*SCREDULE — [SECHECKIST Mechanical permit fees*are based on the value of the work 0 New construction Y.]Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. ••" ON 'TRUCTION Value:$ CATS O r SSI DENTI L 1EQU 1lt NT/SYSTEMS..FEES* .. xj 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB SITE' -'1100 RMfA 'IO$ 1 y N LOCATION Heating/cooling: Air conditioning 46.75 Job site address: I G�.I r t 1_ 1L Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: !—� �{I Q 9 2Fy2/ Furnace 100,000+BTU(ducts/vents) 54.91 t[+C• — '�A.0141.434a. Heat pump 61.06 Suite/bldg./apt.no.: Project name: �r Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Other: 23.32 Subdivision: p _lk m a;� Lot no.:Tl )i i Other fuel appliances: Tax map/parcel no.: Water heater 23.32 D r ii6N ' . t ...,} . �x s.' . V Gas fireplace/insert 33.39 ,`` ] Flue vent for water heater or gas GI-�G 4. kyk.k. � � .A. ItitO{t fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Ii v` w Other: 23.32 PROPERTY OWNER r. x, ,. Environmental exhaust and ventilation: Name: UttRange hood/other kitchen I _3 equipment 33.39 Address: Clothes dryer exhaust 33.39 City/State/ZIP: Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:( ) Fax:( ) Attic/crawlspace fans 23.32 J� Other: 23.32 � d �•,. ....�<' . ��= 0 CONTACT„PT+rRSOl++1 ��): Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: Furnace,etc. Address: Gas heat pump Wall/suspended/unit heater City/State/ZIP: Water heater Phone:( ) Fax::( ) Fireplace Range E-mail: Barbecue 'P- $ • CONTRACTOR •;:-.:4:;,..4.,,,..„ ,x. Clothes dryer(gas) Other: Business name:/.4727._>4Air MECHANICAL PERMIT FEES* "4 Address: 2).,1 p 1_ / �J c 1 ti ST c t/o7„ 2,72,... Subtotal City/State/ZIP:/3 f� / i /y2 i� _p /,f # ' i ,06.7 Minimum permit fee($90.00) Phone:36,0 3 G�/z,-/ `E `f Fax:(v ) ( Plan review(12%25%of permit fee) State surcharge(12/o of permit fee) CCB lic.:01 0)ic- y TOTAL PERMIT FEE �V h This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: i * Fee methodology set by Tri-County Building Industry Service Board Print name: 4.,‘ Vi l Date: 1t / J)1 \B \P \M I: uild Building P ermitApp_040113.doc 440-4(617T(111/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial & MultiFamily Fee Schedule: TotajMiluatiopermit Fee; $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 h _� , MASTER PERMIT CITY OF TIGARD �� r�, � i COMMUNITY DEVELOPMENTIli iPermit#: MST2018 00011 1 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018 T 6 C�ARID 9 Parcel: 2S108DB04300 Jurisdiction: Tigard Site address: 15339 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 41 Project: Polygon at Bull Mountain, Lot 41 Project Description: New SF. 8/16/2018: REPRINT permit to add 2nd washer,dryer,furnace,NC and(1)lay. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 2 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 6 Clothes Dryers: 2 Natural Gas Heat Pump: N Hoods: 1 Other Units: 1 Furn<100K: 2 Vents: 0 Woodstoves: 0 Gas Outlets: 5 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2734 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,951.53 4 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR -001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Q-7-e— Permittee Signature: 67A/ 11 A/e ,-.9-7-7e,,,, Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. rr CITY OF TIGARD SITE COPY MASTER PER. s ' COMMUNITY DEVELOPMENT Permit#: MST2018-0001 j '10.4 ,,co NI 4 .''\,. T 1.G ARI) 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018 Parcel: 2S108DB0430C Jurisdiction: Tigard Site address: 15339 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot 41 r.25-to Project Polygon at Bull Mountain, Lot 41 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First 2734 sf Basement 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front 20 Smoke Dwelling Units: 1 Third: 0 sf Right 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear. 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach:Jr'a ✓ Laundry Trays: • 1 Rain-Drain: 1 Urinals: 0 Lavatories: SYS V Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer. 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Drains: 0 g p Water Lines: 100 Catch Basins: 0 Footing Drain: 0 Ice Maker. 1 Hose Bib: 2 Backwater Value: 1 Bcldlw Prevntr 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Tvoes Air Conditioning: Y a Vent Fans: 5 (o, ✓ Clothes Dryers: 1 6 Natural Gas Heat Pump: N Hoods: 1 • Other Units: 0 Fum<100K: xa V. Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr. 0 Ea add'I 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr. 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener. N All Other N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr. Occupancy Group: Square Feet NEW SF VB R-3 2734 Owner. Contractor. POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13Th ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,710.28 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987, 98or 1.800.332.2344. • Issued By: Permittee Signature: 64 e/'/Qz.»✓C4-7'�O moi/ Call 603.639.4175 by 7:00 a.m.for the next available Inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project I:\Building\Forms\Inspection Cards\MST Insp Case By Capse\InspCard NewMSTe03 81 doc the time of each inspection. Plumbing Permit Application Building Fixtures FOR OFFICE USE ONLY City of Tigard Received Permit N /�j U 13125 SW Hall Blvd.,Tigard,OR 97223 DDate/By: r'/S��(1�� Phone: 503.718.2439 Fax: 503.598.1960 Dan Review Pla 111 - teBy: Other Permit No.: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information S4 ; Pt ,,,i., „44..,......._....'.......,,''......„4. ... , . . . om i/taaa" � 1 �`� � % ,i , i c ® N � v I* �. �.� ��; „� �, - 0 New construction 0 Demolition For special information use checklist Description I Qty. I Ea. 1 Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) /�� 0 \ SFR \ .. CATE#x[3R�t' fah' U>, Tt"tt11�1 (1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler l sq.ft.) Page 2 t l arP Site utilities: Catch basin or area drain 18.76 Job site address: City/State/ZIP: Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: 1 Project name:East River Terrace Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Subdivision:River Terrace 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 ,51wfix": Backwater valve 12.51 ,„ItOR i ✓ i s F ' 7 :.\. '04' 1; Clothes washer / 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 •m mtilmq =R 1 ANTr Expansion tank 12.51 Name:ADVL Land Holdings LLC Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address:7600 E Doubletree Ranch Rd Garbage disposal 25.02 City/State/ZIP:Scottsdale,AZ 28660 Hose bib 25.02 Phone:(602)694-4031 Fax:( ) Ice maker 12.51 1 ® ;PERSON Interceptor/grease trap 25.02 Business name:Polygon WLH LLC Medical gas(value:$ ) Page 2 Primer 12.51 Contact name:Tom Dicianno Roof drain(commercial) 12.51 Address:109 E 136 St Sink/basin/lavatory 1� / 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(503)577-4160 Fax::( ) Tub/shower/shower pan 12.51 E-mail:tom.dicianno@polygonhomes.com V/ Urinal 25.02 Water closet 25.02 \t., Jl�`,,'�,,'�' R %,,�„ ate„ r; '' Water heater 37.52 1St Business name: 6 t Water piping/DWV 56.29 Address: Other: 25.02 City/State/ZIP: c) Subtotal Phone:( ) // `�Fax:( ) Minimum permit fee: $72.50 CCB Lic.: A�' Plumbing Lic.no.: Plan review (25%of permit fee) 6 State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONE\' City of Tigard veRecei Date/By: Permit N ir/r. "/,"e)/,,/ 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: TI G A R D Inspection Line: 503.639.4175 Date Read/B Jur s: 0 See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information •:w.' /'t� ,i • • ° 1Gt:,:, r 'M ,--,---' ..��\ i ► , '", ^^o . .. „ar'''m, .,,,,,,i„ ,z ss> ' '':.. —"'\ ... ,,.i .. .. .....e , Mechanical permit fees*are based on the value of the work ®New construction El Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all El Demolition El Other: mechanical materials,equipment,labor,overhead,and profit. >r �r Value:$ i,lOv;. .t...0,,,„,-,,, :',', CA...�r» f. �.,, fP117* t�� yl,, ) '�( 1l,+ r , . ,✓iiil,,,,.,,, :_ i., ✓i� �``; �F ��i 1.fi� T. P��14�1�M�, �+l�.Rtrl lG��in7°�' ' ® 1-and 2-family dwelling El Commercial/industrial El Accessory building For special information use checklist. ❑Multi-family El Master builder ❑Other: Description Qty. Ea. Total :.TRokylvi • i Heating/cooling: (ducts/vents)' " Air conditioning 46.75 Job site address: Furnace 100,000 BTU ducts/vents 46.75 City/State/ZIP: Furnace 100,000+BTU(ducts/vents) 54.91 Heat pump 61.06 Suite/bldg./apt.no.: Project name:East River Terrace Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision:River Terrace Lot no.: Other: 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 4i avr' ' €"' ;yr ' Gas fireplace/insert 33.39 ' �': tom % �� 'w:• Flue vent for water heater h t er or gas fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 ,.., Other: 23.32 ,° ,00 '- Environmental exhaust and ventilation: Name:ADVL Land Holdings LLC Range hood/other kitchen Address:7600 E Doubletree Rd equipment �r 33.39 Clothes dryer exhaust / 33.39 City/State/ZIP:Scottsdale,AZ 85258 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 1 23.32 Phone:(602)6944031 Fax:( ) Attic/crawlspace fans 23.32 �A ®.1`APPLT . 1'i€rACI P ( ,. Vii.,., 23.32 Other Business name:Polygon WLH LLC Fuel piping: $14.15 for first four;$4.03 for each additional Contact name:Tom Dicianno Furnace,etc. Address:109 E 13th St Gas heat pump Wall/suspended/unit heater City/State/ZIP:Vancouver,WA 98660 Water heater Phone:(503)577-4160 Fax::( ) Fireplace e( ,� Range E-mail:tom.dicianno@polygonhomes.com V e ` i i ! ..;•, • • Clothes Barbu drer(gas) Other Business name: ✓,��r;, ME NI' ,1 *,If., . Address: \ Subtotal City/State/ZIP: ki�r Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) ax:( ) State surcharge(12%of permit fee) CCB lie.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: * Fee methodology set by Tri-County Building Industry Service Board Print name: Date: l:\Building\Permits\MEC_PermitApp_040113.doe 440-46171(11/02/COM/WEB) CITY OF TIGARD MASTER PERMIT IN . 4 • it 3 • COMMUNITY DEVELOPMENT Permit#: MST2018-00011 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/18/2018 Parcel: 2S108DB04300 Jurisdiction: Tigard Site address: 15339 SW THAMES LN Subdivision: POLYGON AT BULL MOUNTAIN Lot: 41 Project: Polygon at Bull Mountain, Lot 41 Project Description: New SF. BUILDING Floor Areas Required Setbacks Required Stories: 1 Bedrooms: 3 First: 2734 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 16 Bathrooms: 3 Second: 0 sf Garage: 501 sf Front: 20 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 2734 sf Value: $340,823.94 Rear: 15 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Drains: 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Furn<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add9 500 sf: 5 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet NEW SF VB R-3 2734 Owner: Contractor: POLYGON WLH LLC POLYGON WLH,LLC Required Items and Reports(Conditions) 109 E 13TH ST,STE 200 703 BROADWAY STREET,SUITE 510 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: 360-695-7700 PHONE: 360-695-7700 FAX: 360-693-4442 Total Fees: $34,710.28 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: , O4/ /1`,/94-./.U'*7702 tet/ / Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application ir Z---10 T-- Vi Resa�� rl r �w FOR OFFICE ISE ON Ll ent City of Tigard a , j7 Received - �ri ' mtNoI to6erkfr t OI a204 1,,, . 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review BAO Phone: 503.718.2439 Fax: 503.598.1960 Date/By: j ' 9,— ) • Other Permit: 67 /2-'00;9 Inspection Line: 503.639.4175 Date Ready/By: a/ h Juris. ��"See Page 2 for T 1 G!h F i� p L . - '' _" Notified/Method://e 1 .i/A' ._ Supplemental Information Internet: www.tigard-or.gov <L..- Ar./C /c t-E . . I e # p ' t 1' „ tl i, 1 . 0 Demolition Permit fees*are based on the value of the work performed. ®New constructionIndicate the value(rounded to the nearest dollar)of all 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the = ° workindicated on this application. q - Valuation: ® 1-and 2-family dwelling 0 Commercial/industrial "-57D1)110-- --1-\ Multi-famil Number of bedrooms: 3 3 dota 3 0 Accessory building ❑ y / 0 Master builder 0 Other: Number of bathrooms: e 9 t , t Total number of floors: 1 Job site address:15339 SW Thames Lane New dwelling area:2 '.�51 square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: , square feet Suite/bldg./apt.no.: I Project name:Polygon at Bull Mountain Covered porch area: 1 S,, square feet Cross street/directions to job site: area vei square feet FONer structure area: square feet t' T- • mt Subdivision:Polygon at Bull Mountain I Lot no.:41 Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the '' work indicated on this application. a ipt t` ffi Zl. Valuation: $ Existing building area: square feet New building area: square feet + 1 , - Number of stories: Name:Polygon WLH,LLC Type of construction: Address:703 Broadway St Suite 510 Occupancy groups: City/State/ZIP:Vancouver WA 98660 Existing: Phone:(360)695-7700 Fax:( ) New: t I 4 t i t ` i Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Nichole Thorpe FLS plan review fee(if applicable): Address:703 Broadway ST Suite 510 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Amount received: Phone:(360)695-7700 I Fax::( ) r t ik E-mail:Nichole Thorpe Commercial and residential prescriptive installation of :4',.,-;':,Mtg..ztEaiP*aSiVtfiarA6aktWark ' roof-top mounted Photovoltaic Solar Panel System. Business name:Polygon WLH,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:703 Broadway ST Suite 510 Solar Installation Specialty Code checklist. Permit Fee(includes plan review $180.00 City/State/ZIP:Vancouver WA 98660 and administrative fees): Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:204238 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Date:9/19/2017 *Fee methodology set by Tri-County Building Industry Print name:Nichole Thorpe Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Building Permit Application Checklist One- and Two-Family Dwelling FOR OFFICE USE ONLY City of Tigard Received Permit No.: Date/By: Associated r 13125 SW Hall Blvd.,Tigard,OR 97223 Associated permits: ® Phone: 503.718.2439 Fax: 503.598.1960 1.l A R D 24-Hour Inspection Line: 503.639.4175 0 Electrical ❑ Plumbing 0 Mechanical Internet: www.tigard-or.gov ❑ Other: THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/.a 1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ 0 2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district,etc. ❑ ❑ ❑ 3 Verification of approved plat/lot. ❑ 0 ❑ 4 Fire district approval required. Name of district: 0 ❑ ❑ 5 Septic system permit or authorization for remodel. Existing system capacity . 0 ❑ ❑ 6 Sewer permit. ❑ ❑ ❑ 7 Water district approval. ❑ ❑ ❑ 8 Soils report. Must carry original applicable stamp and signature on file or with application. ❑ ❑ ❑ 9 Erosion control ❑plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑ ❑ basin protection,etc. 10 3 Complete sets of legible plans. Must be drawn to scale,showing conformance to applicable local and state ❑ ❑ ❑ building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if copyright violations exist. 11 Site/plot plan drawn to scale. The plan must show lot and building setback dimensions;property corner elevations(if 0 ❑ ❑ there is more than a 4-ft.elevation differential,plan must show contour lines at 2-ft.intervals);location of easements and driveway;footprint of structure(including'declls);location of wells/septic systems;utility locations;direction indicator;lot area;building coverage area;percentage of coverage;impervious area;existing structures on site;and surface drainage. 12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ ❑ and location. 13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, ❑ ❑ ❑ furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc. 14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ ❑ ❑ floor,wall construction,roof construction. More than one cross section may be required to clearly portray construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings and foundation,stairs,fireplace construction,thermal insulation,etc. 15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑ Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope. Full-size sheet addendums showing foundation elevations with cross references are acceptable. 16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ ❑ ❑ prescriptive path analysis provide specifications and calculations to engineering standards. 17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing,spacing,and bearing 0 ❑ ❑ 1 locations. Show attic ventilation. 18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered 0 ❑ ❑ systems,see item 22,"Engineer's calculations." 19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑ over 10 feet long and/or any beam/joist carrying a non-uniform load. 20 Manufactured floor/roof truss design details. ❑ ❑ ❑ 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ 0 ❑ for four or more appliances. 22 Engineer's calculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or ❑ ❑ ❑ architect licensed in Ore.on and shall be shown to be a''licable to the Iro'ect under review. JURISDICTIONAL SPECIFICS 23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 11"or 11"x 17". ❑ 0 ❑ 24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ ❑ 25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ ❑ ❑ 26 "Reversed"building plans must meet criteria outlined in the Permit&System Development Fees document. ❑ ❑ ❑ 27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑ 28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard ❑ ❑ ❑ Street Tree List. 29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑ and protection measures must be drawn to scale and must include the project arborist's signature of approval. 30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑ including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings on a lot of record approved prior to September 9,1995. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , Mechanical Permit AD ill " tori ' , - 1111:()Eli(E iSE O\LS City of Tiga rd - Pectens sip III II13123 SW hall Blvd„Tigard,OR 972235� '/�-z70//// Od%/ Phone: 503:718.2439 Fax: 5035911.1960 Pian Review Other Pem,ft: t]audiy: T ti;a to[� inspection Lino: 503.6394175 . ' • me rteadyloy: taitc l RI Pagel for Internet: www.tigerd-or.gov NoificdiMethed: Supplemental Information -0y i *. ;. i -.-iii t Oi". (?l ► ,i ! 014.1ki )%04.L ittgf.r lttYi?[s Er XtS;PIP-Gil4,... Mechanical permit fees*are based on the value of the work El New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)(tall 0 Demolition 0 Other mechanical materials.equipment,labor.overhead.and ttrofit. Value S _. t NCATEG,ORVO �tlOilRU1i-o ; � . � K.is_ ....:.Y ....._ a:.: A1.and 2-family dwelling CI Commercial/industrial 0 Accessory building Far special information useeheccklist Multi-family 0 Master builder 0 Other: riptionQty, En. Tone( { 11ertfn ieontInF: k_,.. .?,..---V.- .`FORhiA.Tlb1+l AIN -jtD1.AGJfet'l;'1t3tW ,r.r-i Mr conditioning 46.75 Job site address: 533 .SFurnace 100.000 BTU tlacis cnu.) r' 46.7$ vca .s Lanee._ � City/State/LIP:Tigard,OR 97224 Furnace I00.000}I3TU(dud5ntsl 34.91 , I teat pump 61.06 Suite/bldg./apt.no.: Project name:Polygon at Bull Mountain . Duet work 23.32 CMS's streetldirections to job site: ttvdronic itot watersystem , 23.32 . - Residential boner{radiator or hydronic) 23.32 Unit heaters(fuel-type.not electric), • in-wall.in.4uct,suspended,etc. 46.75 Ftue/vent for env of above 23.32 •Subdivision:Polygon at Ball Mountain Lot no.: Other: 23.32 1 Other fuel appliance: Tax mapiparcel no.: Water heatcr23.32 nZ C1 uPTfoI1 Di111 o u . ' Gas firMi 7nscrt , I 33.39 , Flue vent for water heater or gas fireplace , 23.32 • - Log tighter(gas) 23.32 , . -. Woodtpcttetstove 33.39 Wood fircpltacc/insert 23.32 Chimney/liner/flue/vent 23,32 , :. ;:il tai /*C.#rW'r'97,1*R4 Ct;,TE`4A.' 7 .4 r.r.-- _ 23.32 , C)ther Ettrirpaameatal exhaust mid ventilation: Name:Polygon WLH,LLC Range hoodiother kitchut equipment 33,39 Address.11 �, ty S� S R p Clothes dryer exhaust. 33.39 City/State/ZIP: ""�'. 0 Single-duct exhaust(bathrooms, 1.3. VQ•*K t)WJe r vii Cj€ C V toilet compartments.utility rooms) 1 23_12 Phone:(360)69�a-7700 J : Fax:( ) Attic-crawlspaee fans 23.32 03i:APip 4W .,- 1 cxl'x1AAt t.opt. :_ Other: 2332 Business name:Polygon V1111,LLC Feel piping: /� . $14.15 for first four:54.03 far each trdditianat Contact barns: N f c h o k Th Q 1/'i Furnace.etc. . .. • ' .1 __ Address: 103 Broad W ' •.l O Gas heat nttmn Wifilssuipendcd?unit heater City/State/ZIP:Vancouver,WA 98 Water heater t Phone:(360)695.7700 Fax::(360)693-4442 Fireplace t • • Runge _ E-mail:Angefa.Grajewskf a)pol gonhoencs.eota Barbecue .CU,f4"[]RACTOR ,.,,': .. .:. _._}. : elWhes dryer(ens) Business name:Apex Mr LLC Other: Address:18004 NE 72re Ave Subtotal .. Cit}'ffitatei7_lP:Vancouver,WA•98686 Minimum permit fee(590:00) Phone:(360)342-8199 Fax:(360)324-1769 Plan review(12%of pit fca) State surchargeerof permit fee) CCB lie.:203034 T()T:'L PERMIT FEE This permit application expire,if a permit is not obtained within 180 • days atter it bus been accepted at:complete. Authorized signature * Per methndolo .set-by'rn.Couiny ttuitdiap Industry Serviec Board Print name: 1 1 ri .1 I Date: 4./4?.feu.. I.Oka idico rrnaut.rxmc_Pcrmitapallama II dau. *ICAO 7ii iLvr,PC'[iMVF.n) Electrical Per''!it Application '' ro zoFr CEm r oaY14i' j :-1 City ofTigard i r !!r Received Date/By: permit il:/..57 ii,L7 eel 'r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review C ' Phone: 503.718.2439 Fax: 503598.1960 pate/B. Related Permit#: Inspection Line: 503.639,4175 ,: ReadyDate/By: Sart TIGARDSuplInternet: www.tigard-or.gov Notified/Method: pe ene2fnf emeuta!Information =W. EMIS +' tr;. c - , t,•.:..•[,..i•L^-N.N-�p-••.i;:•i.'j'r'.^r r ..Y_:i:'•`'• _ ra:, n---.zec^,?,�krt�`��5�.�..�YiTG,..if::lt::;::•; t:.;�, ...�s%i;il :t; _ ,tt _ :"ca::•�f-'K��p*,�'�{p��t� `"-�; - ;',('{nG1�V;rFJiYYvI `•4"oki'.Rs�>,-Ab:w.'•,�:;tS.. .-. •'i•' :; .•:.tc�.:ii��:t:T.:<::.:.`!k?!�•'-Y`.'�.,�'.wn`S'#��+_.:�"::'�::: :'ii:'.•c'j:_S:s� . ®New constriction 0 Addition/alteration/replacement Please cheek all that apply(submit Zsets of plans.v/aemsch�eoired): 0 Demolition 0Qtly; ❑Service or feeder400 amps or more ❑Building over three stories. :-33hes Ct•c �daYnr;gs'f,,� .- - �� - . .s ._�. _ _ where the available fault currant 0 Marinas and boatyards. :!r^v jc :':�1'•i$Lk•+P a,s"i `t.4;%.7'.F._Ql�:u��3i/��i�i7i!Y3�tfi�k:re*�. .^6� {:•^+t•a•.•'.mss` ',.'.r:,,.. amps"`' 'r� rot.- '1•.�t, •..,.,3�:,t;:t�:�i.`i•�::i4,i•.''':•SSj;�F BXaaeds10,000 150 volts or I]Floating buildings. ®1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to gtmmd,or exceeds 14,000 ❑Cmameroial-use agricuitara► v amps for all other installations. •building s.]Multi-family • 0 Master builder 0aer ❑rm pump• 0 Installation n of 150 50 KVA x:jiS: ?g: 1 : .-U:� a, . , , ►110T:4:ND. 0aik a r- ".' :73. ❑EmeunsYof owmo.tor larger separately derived system.Job#: Job ste addresslsib1JA —Th4w J 10011P or more. ❑A",`B',"1-2,"1-3, City/State/ZIP:Tigard,OR 97224 ❑Six or mom residential units �mN kY• QHealth-cam facilities. ❑Recreational vebiolepada. Suite/bldgJapt#: Project name:Polygon at Boll Mountain ❑Hazardous locations. ❑supply voltage for more than Cross street/directions to job site: ❑Service or feeder 600 ampsyor more. ��600 volts nominal, ;:t:`!'r i>.L'�•:••,+At'i.y':?.:.. �n i:•j;.:i1:.=�'l�. ~:1:.-L+ nesertpeoa I Qtr. l Each I rota! j New residential single-or multi-fancily dwelling unit Subdivision:Polygon at Bull Mountain Lot#: Li 1 Includes attached garage. 1,000 R.or less Tax map/parcel#: 168 54 4 F•.a.,:=.y +..,:.,-- Ea. c•.a�'�•r- �; .leer-••t ,a.. -.:,. sq.It.or portion 33.92 1 ,:::'t*,. i s< ii;t rA' `'{':'• Limited energy,residential (with above sq.ft.) 75.00 2 • Limited energy,multi-family 75,00 2 residential(with above sq.ft.) •;r Renewable Energy D See Page 2�aIxo, efat 1 tx > rxau ti l "g,g; . " Services or feeders installation,alteration,and/or relocation Name:Polygon WL11,LLC 200 amps or less 100.70 2 Address: Da, fv`Ua d,t31st siA.�-y� cr1 j1 201 amps to 400 amps 133.56 2 City/State/ZIP:Vancouver,WA 98660 t v J I V 401 amps to 1,0 amps 20034 2 • 601 amps to 1,000 amps 301.04 2 Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 Email: Temporary services or feeders installation,alteration,and/or • relocation Owner installation:This installation is being made on property that I own which isnot _200 amps or less 59.36 1 intended for sale,lease,rent or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps to 599 amps 168,54 2— ` ;J ad x :.A'.F�'t;:0rx t`+is`%: ;1.TA,o;_:Fi-eel �',+r' ,..,:if : Branch circuits—new,alteration,or extension per panel A.Fee for bind,clrcults with Business name:Polygon WLH,LLC above service or feeder fee, 7.42 2 Contact name. i ek � each branch citcir �)1 Q� I►1 Y r B.Fee for branch circuits without sAddress 0 Q . S S ! c �^ _� blench h feeder fee,first 56.18 2 A�;J '`" Jl�)��C_. `t btanchcitnttit City/State/ZIP:Vancouver,WA 98660 - Each add'I branch circuit 7.42 2 Phone:(360)695-7700 Fax: 360 Miscellaneous(serviee or feeder not included) ( )693-4442 Each manufactured or modular Email: /fit '�� / dwelling,service and/ortbeder 67.842 �/� Email: . ry IVO/reef; _ .:.(. "�,!' ,:.,. Reconnect only 67.84 2 ��.iaa: n Y� ��, :•' tyy�%G or ,�`" "i,:�t•.-iit's.'- r'�'., , t^` z:•.-` �,_ 3n},'�^::a.c•,i.%::'•°i' Jai a,_u:�S:.;s Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC Sign oroutlinelighting 67.84 2 Address 402 Valley Ave NW Ste 106 • Signal circuit(s)or limited-energy 0 See Pae 2 2 • panel,alteration,or extension. g City/Stitt/ZIP:Puyallup WA 98371 Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(253)872-6051 Fax:(253)872-1801 Investigation(1 hr min) 90,001 hr Email:bdaniels®gweusa.com Industrial ptant(llhrmin) 78.18/hr CCB Lie.: C1158Inspections for which no fee is ElectricaliLie,: 208174pD�� / I Supprpv.Lie,: 4496S specifically listed 5:hratin �y.ON,.,,,„,,,,r..„:-4.,r `1 / ./ P, Aihe,„, r i `V:�iY�'y 1i`'.�ti;? � � .;,me ,#Y: v,;:Fti ;;', Sups v.Electrician signature,required:. � • �__ . Subtotal:l -r•.:c-.• Print name: Joan P Albert , Date: D Plan Review Required(25%of permit fee): State surcharge(12%of permit foe): Authorized signature: TOTAL PERMIT FEE: This permit application expires If a permit is not obtained wdthin 180 Print name: Bill Daniels Date: days atter it has been accepted as complete. * Number of inspections allowed per permit 1,'teuiidieravenettamc Normals,_MREatadoc Rev 06/1712015 410.4615rnlro ,nB • Plumbing Permit Application . - - • • , . Building FixturesFOR OFFICE USE ONLY' City of Tigard Date/ Permit NoMJ j c)Jrf -006// r 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: 503.59g:14d Other Permit No,: T I G A R D Inspection Line: 503.639.4175 Date Ready/By: Anis: 10 See Page 2 for Internet wttwtigard-or gov Notified/Method: gn r....;-7,:',0,...314,.I. Supplemental armatl rs-_ 'r sC-7tre y� TPftT�Q +r • { r m.,: "," r c* iiiiiifjii n . ,ci+ , .._:. , �- tky; al .t: ) �,. r t,i .+ r . . x For special i71fnrntarron use checklist ®New Construction []Demolition Description I Qty. I Ea. I Total ❑Addition/alteration/replacement 0 Other: New I-2-family dwellings(includes 100 ft.for each utility connection) T j(� y i ii rel 6 R t, . - . , SFR(1)b� 312.70 �, .2 �, �� Lt'.4tI�tY.:.01!!�[1NS2'ttttC tZ�}l. •ry>.R�,moi..._r 1 .;i .. i 0 1SFR(2)bath 437.78 and dwelling 0 Commercial/mdustrial SFR(3)bath ' 500.323 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 ✓ " L N - ,, 4 5OB$J1E OIt14L4,TIQiAl44D'L 041 3tt', `? >r, Site utilities: Catch basin or area drain 18.76 Job site address: - Drywall,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft:: 1 Page 2 Suite/bldg./apt..no.: I Project name:Polygon at Buil Mountain Manufactured home utilities 50.03 ' Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear.ft.:, ) Page 2 Water service(no.linear ft.: ) Page 2 , Subdivision:Polygon at Bull Mountain Lot no.:' / Fixture or item: Tax map/parcel no.: Bacitlow preventer ' 31.27 `k1y1SECI Backwater valve ' 12.51 ",:, .` Clothes washer 25.02 - Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 • t YRO)? TY OWNER :.' ' I'` 7s , t-Q T r' '- "' Expansion tank 1 . _ `.� FixtumJsewer cap 25.02 Name:Polygon WLH,LLC Floor drain/floor sink/hub 25.02 Address:',03 [6�'o �- qj S> 0 Garbage disposal 25.02 City/State/ZIP:Vancouver,WA 98660 Hose bib 25.02 Phone:(360)695-7700 Fax ( ) Ice maker 12.51 TV*.. :::'. eA1'l?')<..107 i', f -'. ' 1] CO1sT1'ACT iPE Il(41:•ZInterceptor/grease trap 25,02 x" Medical gas(value:$ ) Page 2 ' Business name:Polygon WLH,LLC 12.51 Contact name: NI Ch D/ .7h QJ Cl f Roof drain(commercial) 12.51 Address: 10-21 e,y- j,►o.,,A SI- S -- ,] 1 Sink/basin/lavatory 25.02 City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54 Phone:(360)695-7700 i Fax::.(360)693-4442 Tub/shower/shower pan 12.51 ' ! .syn ' /1 Urinal 25.02 I i.tE-tna,l I/4rho(� ;Thor 1t ` �' v?d " f t l � Water closet 25.02 5= . ' k , ,.0 NMi' 91,-,-,,,,---.-------r,-,-„,,, ,,,-Y-.4.---;•--,i,,i-1 Water heater 37.52 Business name:BDL Plumbing LLe Water piping/DWV 56.29 Address:PO Box 85 Other 25.02 City/State21P:Corbett OR 97019 Subtotal Minimum permit fee: $72.50 Phone:(.143)351-3903 Fay(:( ) Plan review (25%of permit fee) CCB Lie.:180343 . Plumbing Lie.no.:P131582 State surcharge(12%ofpermit fee) Authorized signature: iii „„r6.000" TOTAL PERMIT FEE Date: This permit application expires if a permit is not obtained within 180 days Print name:Brandon Lanter after it has been accepted as complete- .. *Pee methodology set by Td-County Building Industry Service Board. t:\BuitdingSPvrmasd'LM U-PcrmItApp.doe 10!01/}9 440.4616T(lOi)2/COM/WEB) City of Tigard RI COMMUNITY DEVELOPMENT DEPARTMENT 1111 111 TIGARD Building Permit Review — Residential ,q, resmaimmommumium...., Building Permit #: S�vZOfi--OOv_' Site Address: 15331 Su Va is Lane Project Name: Poi�' �,,., ul- 041 PI0ve hjel Lot #: yJ (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NtLJ C0,11-7-VC146A CC a. 3 F12. irVerify site address/suite#exists and activin permit system. River Terrace Neighborhood: Ail No ❑ Yes,See River Terrace Review Addendum Attached Si e Plan Elements: ree(3)copies of site plan 'fisting structures on site /Site plan must be on 8-1/2"x 11"or 11 x 17"paper Footprint of new structure(including decks)with finished rawn to scale(standard architect or engineer scale) oor elevations '0/North arrow 15 . 'ty locations&easements(required for new and additions) �Ur ite address,project or subdivision name and lot number idewalk/driveway approach Afl,'... 'cant information(name and phone number) t't: 'cation of wells/septic systems k,, •t dimensions and building setback dimensions TA Existing trees to be retained with drip line,and tree MiSquare footage of buildings to be demolished yrotection measures Lot area,building coverage area,percentage of coverage andreet tree size,type and location /impervious area(applicable if R-7,R-12,R-25&R-40) R Street names Oil Property corner elevations(2 foot contour lines if more than >1,000 sf of impervious area created or replaced? NJY:s MI o 4 foot differential) If yes,is a storm water quality facility shown? ❑Y s ■ o dClean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): 1 Required: VI Yes,applicant was notified ❑ No Received: ❑ Yes 1=1 No 1VI Public Facilities Improvement(PFI) Permit: Required: ❑ Yes,applicant was notified Gd No Applied For: ❑ Yes ❑ No,stop intake Land Use Case#: SUS 1015-00 2' Zoning: R" 1. 15d Required Setbacks: Front 20 Rear IS Side Street Side IS Garage lo Cj(Landscape Requirement: VA Lid Lot Coverage Maximum: j4 % Building Height: Maximum Height 30 Actual Height ig JJ Visual Clearance IV Sensitive Lands: ❑ Yes 'No Type Urban Forestry Plan Conditio "Met"prior to issuance of buildiing permit Notes: �`, AJ .+v 17- Mc4- pr-Nr -A1 iSIJa1K Approved By Planning: Ir.IDate: I 1411■ Revisions (after Building Submittal onl 1 Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\BuildingWorms\BldgPermitRvw RES 061417.docx _ 41' 7 Building Permit Submittal // Original Submittal Date: 9'I )I /0 Site Plans: # Building Plans: # Building Permit#: lir nter building permit#above. Workflow Routing: b Planning Engineering /�Permit Coordinator Building Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. LT'Building: original permit application, site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / By Permit Technician: 74‘-/� s%i Date: 1 40/j Engineering Review izi Slope at building pad: 3 °/.5 ❑ Conditions "Met"prior to issuance of building permit ❑ Easements (encroachments)per engineering conditions of approval and plat ❑ Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes .zr No Assess Water Quantity Fee in-lieu: ❑ Yes /u No LIDA Facility on lot: ❑ Yes ziZ. No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: e. Date: 1 lQ /S Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved 0 Not Approved Permit Coordinator Review 0 Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: DC Fees Entered: Wash Co Trans Dev Tax: Yes 0 N/A Tigard Trans SDC: Yes 0 N/A Parks SDC: Yes ❑ N/A LIDA ❑ YesN/A KOK to Issue Permit l Approved by Permit Coordinator: Date: ` 10 7/16-- ------- I:\Building\Forms\B1dgPermitRvw_RES_061417.docx IF S l -.r City of Tigard 111 " COMMUNITY DEVELOPMENT DEPARTMENT T I G ARD River Terrace Building Permit Review Addendum Building Permit #: Site Address: 1 VS A .\i 716,,NA) Lan t Project Name: PitiridA ixt 0✓11 hatInk.k Lot #: 9 (New dwYlling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.6. 4.070.1): Is the project ubje t t. the plan district design standards? ❑ Yes ❑ No L l 1.Articulatio a 'A urn of 1 elem t er ea h street-facing façade that has 30-60 ft. of fr.ntage.An additional element req ' e. i.r .1, with over 60 fprontage sha provided every 30 ft. Porch min. 5 t. .ee. Balc ny w/ ss Window Pro' 'on Vertical Wall e ffset a Gabled dormer ft. deep min. 2ft.,5 ft. e min. 2 ft.,6- .wide ❑ ❑ ❑ ■ ❑ 2. Eyes on the street: a minimum ,.% ,1 t street facing façade must',dude windows or entrance doors. Percentage Shown: 3. Entrances:At least one entrance must meet of the following andards: ❑ Pa . el to street,angle no more than 45° from street, ❑ Max. 8 ft. setback from longest street-facing wall or ..en onto porch Entrance opens to a porch: ❑ Yes ❑ No If yes,all the following apply: ■ 25 sq.ft.min. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch ❑ 5 ft. depth min. ❑ 30%min.porch roof coverage 4.Detailed Design:All buildings shall include a r ' . of five of the following elements on all street-facing facades: ❑ Covered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft.deep ❑ Wall offset min. 16 inches ❑ Dormer min. 4 ft.wide ❑ Roof eave min. 12 inch projection ❑ Roof offset min.of 2 ft. ❑ Roof shingles either tile or wood ❑ Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 5P I sq. ft. ❑ Horizontal lap siding min. 3-7 ft.wide ❑ Accent siding min. 40%of str:-t facade ❑ Window trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min.3 inch-, for all street facing ❑ Bay window min. 5 ft.wide by 2 ft. deep ❑ Balcony min. 5 ft.wide ft. deep with inside access ❑ Attached garage is 35%or less of street facade 5. Garages and Carp. s:May face the front or side lot line on a corner lot. Setbacks: No closer to fron or side lot line,than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ May exten. p to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. ❑ May ext- d up to 5 ft.where the garage is part of a two-story building and there is a window at the second story above th- garage that faces the street with a min. area of 12 sq.ft. Widt (Check one) ❑ 2-foot-wide garage door ❑ 40%max. of street façade 0�50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: Date: I:\Building\Forms\BldgPermitRvw_RES_RT_031416.docx FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 111 I Transmittal Letter , R(IA It n 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: /9 LL1 ft t DATE RE DEPT: BUILDING DIVISION rl t' h l VED AUG 8 2018 FROM: PaL'!(70$) /Owl iJ IGrA.NwD CITY OF BUILDING 111 DIVISION COMPANY: Pbt,YGov' 1 iS�C j E PHONE: SU 3 I -27 V/(0O By: a,►��J ►�+" RE: /533 9 sail 7:4iLs Ln/ /Vs 7;moi,-DO29// (Site Address) (Permit Number) ,4'1/60 / Mr- .amu C-L. ,R1 €'VTftrA1 0 / `f/ (Project name or subdivision name and lot number) ! ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s)of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): REMARKS: CNA,'GO /Ai j fala euxtNelNG/ht/ftC 'r5 j YO-1 V 7V e"--4.6 4', -:,Z•*1-__ _!.).1-shie--5/2),-,4,y&-.75, /---ii. reivec:4--/-,iit 4-414,'‘... 1-41-1 FO OF ICE USE ONLY Routed to P echnician: Date: c6l 3 L.% Initials: A Fees Due: Yes D No Fee Descriptio Amount Due: 1 q t c,r, c-,to:/ $ Lis • 7-a7-01_ $ ri.2s Special Instructions: ,�� Reprint Permit(per PE): Yes [No /: 'one Applicant Notified: 1 " Date: ej/S,/le nitials A I:\Building\Forms\TransmittalLetter-Revisions_061316.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15339 SW THAMES LN, TIGARD, OR, 97224 December 7, 2018 at 10:13:18 AM Record Type: Record ID: Residential - Master Permit MST2018-00011 Inspection Type: Inspector: 199 Electrical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15339 SW THAMES LN, TIGARD, OR, 97224 December 7, 2018 at 10:13:21 AM Record Type: Record ID: Residential - Master Permit MST2018-00011 Inspection Type: Inspector: 699 Mechanical final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15339 SW THAMES LN, TIGARD, OR, 97224 December 7, 2018 at 10:13:28 AM Record Type: Record ID: Residential - Master Permit MST2018-00011 Inspection Type: Inspector: 399 Plumbing final Jeremy Burrows Result: PASS Comments: Corrections completed Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 15339 SW THAMES LN, TIGARD, OR, 97224 December 10, 2018 at 2:03:17 PM Record Type: Record ID: Residential - Master Permit MST2018-00011 Inspection Type: Inspector: 299 Final inspection Jeremy Burrows Result: PASS - CofO Comments: Final erosion control passed Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate received C of 0 left on counter. Violation Summary: Inspector Contractor